Walking Exercise Sustainability Through Telehealth for Veterans With Lower-limb Amputation

Description

Despite recent advances in physical rehabilitation, Veterans with lower-limb amputation have poor long-term outcomes, including severely limited functional capacity and high levels of disability. Such poor outcomes are compounded by a lack of exercise participation over time, even with use of lower-limb prostheses. There is a clear need to advance current rehabilitation strategies to better promote sustained exercise following lower-limb amputation. To address this need, the study will determine the potential of a walking exercise self-management program to achieve sustained exercise participation. The 18-month intervention is focused on helping Veterans reduce habitual sedentary behavior through a remote exercise behavior-change intervention that includes multiple clinical disciplines, individualized exercise self-management training, and peer support. This innovative approach shifts the conventional rehabilitation paradigm to specifically target life-long exercise sustainability and remove an underlying cause of disability for Veterans with lower-limb amputation.

Conditions

Lower-Limb Amputation

Study Overview

Study Details

Study overview

Despite recent advances in physical rehabilitation, Veterans with lower-limb amputation have poor long-term outcomes, including severely limited functional capacity and high levels of disability. Such poor outcomes are compounded by a lack of exercise participation over time, even with use of lower-limb prostheses. There is a clear need to advance current rehabilitation strategies to better promote sustained exercise following lower-limb amputation. To address this need, the study will determine the potential of a walking exercise self-management program to achieve sustained exercise participation. The 18-month intervention is focused on helping Veterans reduce habitual sedentary behavior through a remote exercise behavior-change intervention that includes multiple clinical disciplines, individualized exercise self-management training, and peer support. This innovative approach shifts the conventional rehabilitation paradigm to specifically target life-long exercise sustainability and remove an underlying cause of disability for Veterans with lower-limb amputation.

Walking Exercise Sustainability Through Telehealth for Veterans With Lower-Limb Amputation

Walking Exercise Sustainability Through Telehealth for Veterans With Lower-limb Amputation

Condition
Lower-Limb Amputation
Intervention / Treatment

-

Contacts and Locations

Aurora

Rocky Mountain Regional VA Medical Center, Aurora, CO, Aurora, Colorado, United States, 80045-7211

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Unilateral or bilateral lower-limb amputation (transmetatarsal to him disarticulation, traumatic or non-traumatic etiology)
  • * Ability to walk two minutes without seated rest using prosthesis and assistive device if needed
  • * Living without assistance for basic activities of daily living
  • * Congenital or cancer-related amputation
  • * Unstable heart condition including:
  • * unstable angina
  • * uncontrolled cardiac dysrhythmia
  • * acute myocarditis
  • * acute pericarditis
  • * Acute systemic infection
  • * Prisoner
  • * Mild cognitive impairment
  • * Active cancer treatment
  • * Discretion of PI to exclude patients who are determined to be unsafe and/or inappropriate to participate

Ages Eligible for Study

50 Years to 89 Years

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

VA Office of Research and Development,

Cory L. Christiansen, PhD, PRINCIPAL_INVESTIGATOR, Rocky Mountain Regional VA Medical Center, Aurora, CO

Study Record Dates

2026-10-31